Fahad Javed, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12010782A Issued in IN

Practice address

777 Broadway St
Suite a
Anderson, IN 46012-2568

Phone

(765) 641-7930

Fax

(765) 641-7957

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifetime Dental Care of Indiana, PC

  dba Complete Family Dental Care

  • General Practice Dentistry
  • Anderson, IN
  • NPI 1619199221
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1699968958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BROADWAY ST",
            "address_2": "SUITE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122568",
            "telephone_number": "765-641-7930",
            "fax_number": "765-641-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BROADWAY ST",
            "address_2": "SUITE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460122568",
            "telephone_number": "765-641-7930",
            "fax_number": "765-641-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "FAHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010782A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Moneyhun MD Medical Corporation
• James S Milligan MD Inc (Central Indiana Otolaryngology)
• Kendra Rae Janney
• Julianne Jarrell, DEVELOPMENTAL THERAP
• Jason C. Sims DDS, P.C.
• Paul Jefferis, RPH
• Rhozonda Jefferson Sonnette Jefferson
• Jeffrey M. Blake MD, Inc.
• Mark Randall Jennings, MD
• Eunmi Wang Jeong, OTA

• Dentist in Anderson, IN
• Providers in Anderson, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.